Integrating Human Factors and System Safety Into the Event Review Process.
National Center for Human Factors in Healthcare. March 26–27, 2015; Medstar Washington Hospital Center, Washington, DC.
Acceptance of root cause analysis as an improvement strategy has been mixed, despite mandates requiring that root cause analyses be performed following sentinel events. In this workshop, participants will learn tactics to investigate serious safety events along with practical skills to enhance the applicability of the root cause analysis process in their organizations. Dr. Terry Fairbanks is a featured speaker.
Patient safety begins with proper planning: a quantitative method to improve hospital design.
Birnbach DJ, Nevo I, Scheinman SR, Fitzpatrick M, Shekhter I, Lombard JL. Qual Saf Health Care. 2010;19:462-465.
Improving Patient and Worker Safety—Opportunities for Synergy, Collaboration and Innovation.
Oakbrook Terrace, IL: Joint Commission; 2012.
A cross-sectional study on the relationship between utilization of root cause analysis and patient safety at 139 Department of Veterans Affairs medical centers.
Percarpio KB, Watts V. Jt Comm J Qual Patient Saf. 2013;39:32-37.
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Using Lean to improve medication administration safety: in search of the "perfect dose."
Ching JM, Long C, Williams BL, Blackmore CC. Jt Comm J Qual Patient Saf. 2013;39:195-204.